Guidelines For Initiation and Advancement of PN to Pediatric Oncology PatientsNutrient and fluid requirements are influenced by many factors. The following ranges are guidelines which may differ between institutions.

Infants (1 – 12 mths)

Children (1 – 7 yrs)

Children (7 – 12 yrs)

Adolescents (>12yrs)

ENERGY (Kcal/kg/day)

80 – 100

75 – 90

50 – 70

30 – 50

PROTEIN (g/kg)

Initiation

1 – 1.5

1 – 1.5

1 – 1.5

1.0

Advance daily by

1.0

0.5 – 1

0.5 – 1

0.5 – 1

GOAL

2 – 3

2 – 3

1.5 – 3

1 – 2.5

Note: Amino Acid dose may need to be modified with renal dysfunction

LIPID (g/kg)

Initiation

1.0

1.0

1.0

1.0

Advance daily by

0.5 – 1

0.5 – 1

0.5 -1

0.5 – 1

GOAL

3.0

2 – 3

2 – 3

1 – 2.5

Notes:

Lipid emulsion should not exceed 60% of total daily calories

Do not exceed 0.15g/kg/hr

If using SMOF – ensure no allergy to fish, peanuts, soy or egg-yolk containing products